| NPI | 1972719581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC BETTS Pharmacy Director 407-343-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH19147) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |